Certified Tailored Care Management Providers Completed Readiness and Application Period Open for Round 3 Tailored Care Management Certification.
Blog Entry List
Certain vaccinations must be offered to Medicaid-eligible beneficiaries without a co-pay charge.
Providers can refer patients to Healthy Opportunities Pilot services
Every page of the NCTracks provider record should be assessed for accuracy.
Ventolin® HFA will shift from Non-Preferred to Preferred on the Preferred Drug List (PDL), effective Sept. 23, 2022.
Pfizer & Moderna Bivalent COVID-19 booster vaccine billing and claims information
Coverage season starts Oct. 1, 2022.
The 2023 ICD-10 update is effective Oct. 1, 2022, through Sept. 30, 2023, for provider use for dates of service within this period.
Key milestones, playbook updates, verifying eligibility, provider reverification, provider records, behavioral health services transition and more
Attention Standard Plans/Tailored Plans/HHA Exchange/CareBridge and Healthy Blue
Updates to Clinical Coverage Policy 1A-5 with an effective date of Sept. 2, 2022.
Updates on Tailored Plan criteria review, eligibility criteria, enrollment and health care options, and resources for Beneficiaries and Providers.
What services are available, in which regions, and how providers can refer patients.
Providers shall not bill a NC Medicaid beneficiary for services furnished to a beneficiary who the provider has accepted as a Medicaid patient.
NC Medicaid is working with Standard Plans to create easier pathways for providers to reach Standard Plans and resolve panel issues.